APCM 2026: The Primary Care Revenue Most Practices Are Missing
New CMS codes G0556, G0557, and G0558 pay primary care up to $117 PMPM in 2026. Here is how to bill them…
Read articleInsights on medical billing, RCM, denial recovery, and the operational details that decide whether a practice gets paid this quarter.
Industry Trends
New CMS codes G0556, G0557, and G0558 pay primary care up to $117 PMPM in 2026. Here is how to bill them…
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Industry Trends
ACIP recommendations and CHIP rules updated for 2026. Here is the pediatric billing playbook for vaccines, well-child visits, and Medicaid mix.
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Industry Trends
The PHE flexibilities are gone. Place of Service codes matter again. Audio-only is restricted. Here's the post-PHE telehealth billing playbook for 2025.
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Industry Trends
The global maternity package bundles antepartum, delivery, and postpartum care. Here is what the 2026 PFS clarifies and what stays unbundled.
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Industry Trends
Anesthesia billing uses base units plus time units, not RVUs. Here is the 2026 playbook including QK, QY, QX, QZ supervision modifiers.
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Dermatology runs the highest modifier 25 audit risk in medicine. Here is the 2026 biopsy bundling and modifier discipline.
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Industry Trends
OIG continues to audit debridement billing for incorrect depth-of-tissue coding. Here is the documentation that holds up on review.
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Industry Trends
2026 PFS cuts hit retinal surgery hard. Here is the cataract, retinal, and glaucoma billing playbook for ophthalmology practices.
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Industry Trends
Negotiated Medicare prices for the first 10 drugs took effect January 1, 2026. Here is what practices billing them need to know.
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